Portable traffic signals

All fields marked with a * are required fields.

Company Details

Company name: *

Name of contact: *

Contact tel no.: *

(inc. area code - only numbers allowed)

Contact fax no.:

(inc. area code - only numbers allowed)

Email: *

Out of hours contact name:

Out of hours tel no.:

(inc. area code - only numbers allowed)

Out of hours email:

Company Address

House Name/No:

Postcode: *

If the address is not listed, please select ADDRESS NOT FOUND from the list to enter it manually.

Portable traffic signals request details

Client: *

Signal control type:

Two WayMultiphase

Duration of works: *

Start date: *

End date: *

Street: *

If the street is not listed, please select STREET NOT FOUND from the list to enter it manually.

Road no.: *

O.S. grid ref: *

Does site contain a junction:? *

YesNo

Traffic sensitive situation? *

YesNo

Purpose of works: *

Hours of operation: *

24 Hour operation
Working day operation (i.e. 7:30am to 4:30pm)

Attachments

Copies of site plans and location plans showing position of the signal heads can be attached in this section.

Attachment:

Declaration

I hereby certify that the portable traffic signal used will be of a type which is currently approved by the Department of Transport and the Welsh Assembly Directives.

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